Call 1-877-744-5675 (Monday-Friday 8 AM -8 PM ET) for live support. ELIQUIS is available in two different tablets. What happens when I contact Pfizer RxPathways? Provides patients with financial assistance and personalized support for their Pfizer oncology medicines. Estimated savings range from 36 to 75 percent and depend on factors such as the particular drug purchased, amount purchased, and the pharmacy where purchased. You are about to leave the Bristol Myers Squibb and Pfizer hcp.eliquis.com site. Patient is responsible for applicable taxes, if any. Terms and conditions apply. To learn more, go to www.PfizerRxPathways.com or to begin the application process, visit Pfizer PAP Connect at www.PfizerPAPConnect.com. Patients can also call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor. Please speak to your health care provider about Pfizer's assistance programs. Pfizer Inc, New York, NY. ELIQUIS should be discontinued at least 24 hours prior to elective surgery or invasive procedures with a low risk of bleeding or where the bleeding would be noncritical in location and easily controlled. Prior authorization: If your insurance plan needs prior authorization before approving coverage ofELIQUIS, live specialists can help coordinate the process among your doctors, insurer, and pharmacist, and get the paperwork submitted. Co-Pay and Savings Offers Help eligible patients save on a variety of brand-name medicines, regardless of their income. People who take ELIQUIS, and have medicine injected into their spinal or epidural area, or have a spinal puncture, have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). Let us help make it easier once you have been prescribed ELIQUIS. You are about to leave the Bristol Myers Squibb and Pfizer ELIQUIS.com site. 9 Medicines include those listed in the Group A category, visit www.PfizerPAPConnect.com for a complete list. DOWNLOAD FORM Online Support Portal PP-UNP-USA-0905. You may have a higher risk of bleeding if you take ELIQUIS and take other medicines that increase your risk of bleeding, such as aspirin, nonsteroidal anti-inflammatory drugs (called NSAIDs), warfarin (COUMADIN), heparin, selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs), and other medicines to help prevent or treat blood clots. To qualify for free medicine through the Pfizer Patient Assistance Program, patients must*: The difference in the program for uninsured patients vs. underinsured patients is that uninsured patients are enrolled for 12 months but patients with insurance are enrolled through the end of a calendar year, since many people switch plans at the end of the calendar year. Need to re-enroll to a program? (as of July 6, 2022). Click Here, Need assistance? Talk to your healthcare team before any medical procedures. If you work with multiple providers, each provider has to register first and then invite you using the Invite Staff button. Consistent with our responsibility as one of the world's premier innovative biopharmaceutical companies, we collaborate with health care providers, governments and local communities to support and expand access to reliable, affordable health care around the world. The 2020 data does not include Upjohn products that were part of the creation of Viatris, effective Nov 16, 2020. Other restrictions may apply. Pfizer PAP Connect is designed to simplify how patients can access certain Pfizer medicines through the Pfizer Patient Assistance Program (PAP). Get Pfizer Patient Assistance Program 2020-2022 - US Legal Forms 432-US-210061012/21, U.S. FULL PRESCRIBING INFORMATION, including Boxed WARNINGS, Please verify that you are a U.S. Healthcare Professional. Please visit. Payment Assistance Program Links to other sites are provided only as a convenience to users of this site. Patients must also provide proof of income, such as a W2 form, a paycheck stub, or prior years tax return. Spinal or epidural blood clots (hematoma). with commercial & Medicare Part D plans All Program payments are for the benefit of the patient only. Contact us at 1-866-706-2400for Enrolled PAP Patients. ELIQUIS (apixaban) is a prescription medicine used to reduce the risk, ELIQUIS (apixaban) is a prescription medicine used to treat blood clots, This is a summary of important safety information that you need, Do not stop taking ELIQUIS without talking to the doctor who prescribed it to you. If you accidentally unsubscribe, or your mobile number changes, you may re-enroll in the mobile program via the method by which you may have originally enrolled. The Pfizer Originals payment assistance card works just like the card for your insurance plan. If you have to stop taking ELIQUIS, your doctor may prescribe another medicine to help prevent a blood clot from forming. *The Pfizer Savings Program is not health insurance. For Patients | Pfizer RxPathways Pfizer PAP Connect | Pfizer RxPathways In the last five years alone (2010-2014), Pfizer has helped nearly 2.5 million uninsured and underinsured patients get access to more than 30 million Pfizer prescriptions, making it the most comprehensive program of its kind. Patient Assistance Programs; Distributors. After activation, you can opt-out at any time by texting STOP to 69108. If you have to stop taking ELIQUIS, your doctor may prescribe another medicine to help prevent a blood clot from forming. Patients, pharmacists, and prescribers cannot seek reimbursement for the Free 30-Day Trial of ELIQUIS from health insurance or any third party, including state or federally funded programs. Form more information phone: 866-279-4730 or Visit website Healthcare providers may be eligible to have free samples of Eliquis delivered to their office. Pfizer RxPathways is part of Pfizers corporate social investment strategy that focuses on leveraging the full range of the companys resources people, skills, expertise and funding to broaden access to medicines and strengthen health care delivery for underserved people around the world. While taking ELIQUIS, you may bruise more easily and it may take longer than usual for any bleeding to stop. To the pharmacist: For processing assistance, please call McKesson Pharmacy Support at 1-866-279-4730. Samples of ELIQUIS2.5 mg and 5 mg tabletsare available for eligibleprescribers. For more information about Pfizer RxPathways, please visit www.PfizerRxPathways.com. You are encouraged to report negative side effects of prescription drugs to the FDA. ELIQUIS is a prescription medicine used to: Reduce the risk of stroke and blood clots in people who have atrial fibrillation (AFib), a type of irregular heartbeat, not caused by a heart valve problem. This offer is non-transferable, no substitutions are permissible, and offer cannot be combined with any other rebate/coupon, free trial, or similar offer for the specified prescription. Im an uninsured patient and Ive been prescribed a Pfizer medicine. You can also ask Elise, our virtual assistant, for help or you can call 1-855-ELIQUIS (354-7847). If someone has more questions about PAP Connect, where should I direct them? Your doctor will tell you when you should stop taking ELIQUIS and when you may start taking it again. You are about to leave the Bristol Myers Squibb and Pfizer hcp.eliquis.com site. There are no membership fees to participate in this program. There are no membership fees to participate in this program. Possible serious side effects include bleeding or a reaction to ELIQUIS itself. [Text HELP to 69108 for help.] NVAF Hospital Discharge Kit & Discharge Planning Checklist, VTE Hospital Discharge Kit & Discharge Planning Checklist, This site is intended for U.S.HealthcareProfessionals. Are there any exclusions? ELIQUIS | Pfizer Activation and first use of the Co-pay Card must take place by December 31, 2022. Important: Please note that a unique email address is required for each HCP, officer registration delegate and access coordinator while creating an account. If you are a prescriber, please visit www.PfizerPAPConnect.com to register an account. eligibility requirements and terms of use, To Reduce Stroke Risk Due to AFib Not Caused by. Get medical help right away if you have any of the following symptoms: Sudden chest pain or chest tightness Sudden swelling of your face or tongue Trouble breathing Wheezing At Pfizer, we apply science and our global resources to bring therapies to people that extend and significantly improve their lives. This site is intended for U.S. residents 18 years of age or older. Please note office staff can use the system after the healthcare provider creates an account and invites the staff member to register and access that account. Pfizer Distributors; Greenstone Distributors . For a complete list of participating pharmacies, please visit www.pfizerrxpathways.com or call the toll-free number 1-866-989-PATH (7284). To qualify, patients must: Have a valid prescription for the Pfizer medicine for which they are seeking assistance. Upon registration, you will receive a confirmation text message. For your convenience, you can access ELIQUIS 360 Support in 3 ways: Explore the topics on this page to request and/or activate a Co-pay Card, activate a Free Trial Offer, and sign up for helpful info and support, Talk to a live specialist by calling tapping to call 1-855-ELIQUIS (354-7847), Monday Friday, 8 AM 8 PM (ET) or Saturday Sunday, 9 AM 6 PM (ET). Please see U.S. FULL PRESCRIBING INFORMATION, including Boxed WARNINGS, and MEDICATIONGUIDE. Your risk of developing a spinal or epidural blood clot is higher if: a thin tube called an epidural catheter is placed in your back to give you certain medicine, you take NSAIDs or a medicine to prevent blood from clotting, you have a history of difficult or repeated epidural or spinal punctures, you have a history of problems with your spine or have had surgery on your spine. This is because ELIQUIS is a blood thinner medicine that reduces blood clotting. For a complete list of participating pharmacies, please visit www.pfizerrxpathways.com or call the toll-free number 1-866-989-PATH (7284). If you are an office assistant, please ask your prescriber to register their account first with their email and NPI information. If you get this reaction, it will usually happen soon after you take a dose of ELIQUIS. NeedyMeds If anticoagulation with ELIQUIS is discontinued for a reason other than pathological bleeding or completion of a course of therapy, consider coverage with anotheranticoagulant. We can confirm plan coverage, helpestimate patient out-of-pocketexpenses, and assist with MedicarePart D concerns, plus help withprior authorizations, formulary andtiering exceptions. Need to re-enroll to a program? However, these patients may be eligible to receive their medicine for free through the Pfizer Patient Assistance Program. 4 Terms and conditions apply. What Pfizer products are covered? To receive an ELIQUIS Free Trial Offer Card, pleaserequest one from your healthcare provider. Is Pfizer PAP Connect available for all Pfizer products? Fax the signed copy to 1-855-674-8134. . For additional support, call 1-844-989-PATH (7284) for New Patients or 1-866-706-2400 for Enrolled PAP Patients, 2022Pfizer Inc. All rights reserved. This downloadable brochure provides a summary of key government, state, and pharmaceutical assistance resources that can help patients access their medicine. Territories; this offer is void where restricted or prohibited by law. Our live specialists are just aphone call away and ready tohelp you and your patients at. You may be eligible for the Co-pay Card for ELIQUIS (apixaban) if: BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. You are about to leave the Bristol Myers Squibb and Pfizer hcp.eliquis.com site. If you are a new Patient, you can create a new account and being your enrollment process. AFib Not Caused by a Heart Valve Problem. Designed with views specific to each patient and healthcare provider. This information is intended for U.S. Healthcare Professionals. We have listened to patients and acted quickly to significantly expand the eligibility of our patient assistance programs. If you need Adobe Reader, click the link below to download the free readerLink to Adobe Reader Download page. privacy notice the pfizer patient assistance foundation respects your right to confidentiality of your personal and medical information. Program applications and a full list of Pfizer medicines that are available to eligible patients for free or at a savings. The risk of clinically significant uterine bleeding, potentially requiring gynecological surgical interventions, identified with oral anticoagulants including ELIQUIS should be assessed in these patients and those with abnormal uterine bleeding. You may be eligible for the Co-pay Card for ELIQUIS (apixaban) if: Questions can also be submitted via mail to: BY USING THIS CARD, YOU AND YOUR PHARMACIST UNDERSTAND AND AGREE TO COMPLY WITH THESE ELIGIBILITY REQUIREMENTS AND TERMS OF USE. When a patient cannot afford their out-of-pocket costs for medicines despite their insurance coverage, for some medicines Pfizer offers assistance programs. Use your indications to submit established track record areas. Provides eligible, uninsured patients with free Pfizer medicines through select federally qualified health centers, disproportionate share hospitals, and free clinics throughout the country. ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacementsurgery. Treatment may increase the risk of bleeding during pregnancy and delivery, and in the fetus andneonate. Activation and first use of the Co-pay. Bristol Myers Squibb and Pfizer are not responsible for the content of such other sites. What type of prescription coverage do you have? You may have a higher risk of bleeding if you take ELIQUIS and take other medicines that increase your risk of bleeding, such as aspirin, nonsteroidal anti-inflammatory drugs (called NSAIDs), warfarin, heparin, selective serotonin reuptake inhibitors (SSRIs) or serotonin norepinephrine reuptake inhibitors (SNRIs), and other medicines to help prevent or treat blood clots. A reaction to ELIQUIS can cause hives, rash, itching, and possibly trouble breathing. If you are a new Patient, you can create a new account and begin your enrollment process. Reproductions of this Co-pay Card are void. Present your activated Co-pay Card to your pharmacist, along with your ELIQUIS prescription, Eligible patients who present an activated Co-pay Card together with a valid prescription for ELIQUIS at participating pharmacies may pay as little as $10 per 30-day supply (up to 74 tablets for the first fill, and up to 60 tablets for all subsequent fills) for up to 24 months, subject to a maximum annual benefit of $6,400. Pfizer medicines that have lost their patent exclusivity and have reasonably priced, multisource generic alternatives (costing $30 or less for a 30-day supply) are no longer offered for free through Pfizers Patient Assistance Program. Elise isn't available for Internet Explorer. Indwelling epidural or intrathecal catheters should not be removed earlier than 24 hours after the last administration of ELIQUIS. however, the pfizer patient assistance foundation and companies that Do I need access to a computer and the internet to use Pfizer PAP Connect? To the pharmacist: For processing assistance, please call McKesson Pharmacy Support at 866-279-4730. Talk to your healthcare team about the following: Tell your doctor if you are pregnant or breastfeeding, or planning to become pregnant or breastfeed. What is Pfizer Patient Assistance Program? In response to the ongoing challenges patients face in paying their out-of-pocket costs for their prescription medicines, Pfizer announced today that it will immediately double the allowable income level for its patient assistance program, so that even more patients in need could be eligible to receive their Pfizer medicines for free. This offer is limited to one use per patient per lifetime and is non-transferable. . Some insurance plans may not cover ELIQUIS, or will ask that a formulary exception request be submitted. As each program is different, please take a look through our comprehensive database which . The Pfizer Patient Assistance Program provides more than 60 Pfizer medicines for free to eligible patients through their doctors office, or in some cases, through home delivery. When leaving the hospital following hip or knee replacement, be sure that you will have ELIQUIS available to avoid missing any doses. You will then be able to access multiple prescribers patients, using one single office assistant account. If you or someone you know have possibly experienced a side effect or have a product complaint while taking a legacy Celgene product, please contact us. Spinal or epidural blood clots (hematoma). Prescription assistance can be offered in the way of Patient Assistance Programs (PAPs), which are created by pharmaceutical companies to provide free or discounted medicines to people who are unable to afford them. For more information, please call the toll-free number 1-866-706-2400. Contact us at 1-844-989-PATH (7284) for New Patients. Tell your doctor right away if you have any of these signs or symptoms (especially in your legs and feet) when taking ELIQUIS: A reaction to ELIQUIS can cause hives, rash, itching, and possibly trouble breathing. How does Pfizer RxPathways help patients? I understand that: Completing this application form does not guarantee that I will qualify for the Pfizer Patient Assistance Program. The Pfizer Savings Program1 helps patients without prescription coverage get savings on Pfizer medicines through participating pharmacies. Savings And Support Info | ELIQUIS (apixaban) | Safety Info 9Medicines include those listed in the Group A category, visit www.PfizerPAPConnect.com for a complete list. Go through the instructions to find out which details you have to include. Please note office staff can use the system after the healthcare provider creates an account and invites the staff member to register and access that account. You and your doctor should decide if you will take ELIQUIS or breastfeed. Patient Assistance Programs - Frequently Asked Questions In some cases, patients prescribed certain Pfizer medicines may first be required to seek alternate forms of assistance before they can be considered for free medicine through the Pfizer Patient Assistance Program. The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation. Do you require financial documentation as part of the application process? Tell your doctor if you are pregnant or breastfeeding, or plan to become pregnant or breastfeed. Patient Assistance Eliquis Is Pfizer PAP Connect available on my mobile device? If you get this reaction, it will usually happen soon after you take a dose of ELIQUIS. Sorry, you need to enable JavaScript to visit this website. Discontinue ELIQUIS in patients with active pathologicalhemorrhage. Coverage Research provides assistance to my patient in researching alternative methods of coverage (such as Medicare Part D "Extra Help" also known as Low Income . You can provide your e-signature by visiting www.ELIQUIS.com/sign. Im an uninsured patient and I dont meet the requirements for the Pfizer Patient Assistance Program. The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. 5 Data on file. What are my options? ELIQUIS 360 Support is here to help you understand your prescription coverage and help thosewith an ELIQUIS prescription learn about ways to save on out-of-pocket costs. People who take ELIQUIS, and have medicine injected into their spinal and epidural area, or have a spinal puncture have a risk of forming a blood clot that can cause long-term or permanent loss of the ability to move (paralysis). The Pfizer Patient Assistance Program provides certain medicines for free to eligible financially needy insured and uninsured patients. Yes, you can access PAP Connect on your mobile phone and tablet using your browser, without installing an app. You will need be connected to the internet to access Pfizer PAP Connect. ELIQUIS is indicated to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). You will receive one final text confirming your opt-out request. Go to, Rx Outreach A nonprofit charitable organization that provides eligible patients with access to more than 500 medications at an affordable cost. The product information provided in this site is intended only for residents of the United States. Consider these risks when scheduling patients for spinal procedures. PDF Patient Support Program Patient Assistance Enrollment Form If you have questions along the way, our live specialists are available at 1-855-ELIQUIS (354-7847), Monday-Friday, 8 AM 8 PM ET. Help you find out if ELIQUIS is covered by your insurance plan, Determine if you are eligible for assistance paying for ELIQUIS, Check if you qualify for the ELIQUIS Co-pay Card. Estimated savings range from 36% to 75% and depend on such factors as the particular drug purchased, amount purchased, and the pharmacy where purchased. The Free 30-Day Trial for the specified prescription cannot be combined with any other rebate/coupon, free trial, or similar offer. In response to the ongoing challenges patients face in paying their out-of-pocket costs for their prescription medicines, Pfizer announced today that it will immediately double the allowable income level for its patient assistance program, so that even more patients in need could be eligible to receive their Pfizer medicines for free. Select a medicine to learn more. I receive my medicines through Medicare but either a) cant afford the co-pay, b) have reached the donut hole and cant afford the cost of my medicine, or c) the medicine is not covered by my Medicare plan. My doctor prescribed ELIQUIS (apixaban) for: To Reduce Stroke Risk Due to AFib Not Caused by a Heart Valve Problem. If you need Adobe Reader, click the link below to download the free reader. Patients applying for free medicines may need to provide financial documentation with their application. If you miss a dose of ELIQUIS, take it as soon as you remember, and do not take more than one dose at the same time. Take ELIQUIS twice every day with or without food, and do not change your dose or stop taking it unless your doctor tells you to. Click above to find out if you are eligible for a Co-pay Card, which lets you pay as little as $10 per month for up to 24 months from activation, with an annual maximum benefit of $6,400, or activate a Co-pay Card youve received from your doctor. and Pfizer at 1-855-ELIQUIS if you have any questions. TEL: 800-736-0003 FAX: 800-736-1611: Languages Spoken: English, Spanish, Others By Translation Service Choose the fillable fields and include the necessary information. Nearly all of the major pharmaceutical companies provide specific programs for their most popular drugs. Have a valid prescription from a healthcare provider licensed in the U.S. Be a registered outpatient of the participating healthcare facility. If you are a Patient already enrolled in Pfizers Patient Assistance Program, you can register by providing your email, name and Patient ID (used to validate your account). Stopping ELIQUIS increases your risk of having a stroke. Program Offers Assistance to Insured and Uninsured Patients. Do not take ELIQUIS if you currently have certain types of abnormal bleeding or have had a serious allergic reaction to ELIQUIS. For more specific information on the application process, please visit www.PfizerRxPathways.com or call the toll-free phone number 1-844-989-PATH (7284) to consult with a Pfizer Medicine Access Counselor. ELIQUIS should be discontinued at least 48 hours prior to elective surgery or invasive procedures with a moderate or high risk of unacceptable or clinically significant bleeding. Desktop, table, and mobile accessible with updates in real time, at any time. Enter the name of your prescribed medicines and follow the onscreen instructions. Fill - Free fillable PFIZER PATIENT ASSISTANCE PROGRAM PDF form Combined P-gp and Strong CYP3A4 Inducers: The limited available data on ELIQUIS use in pregnant women are insufficient to inform drug-associated risks of major birth defects, miscarriage, or adverse developmental outcomes. What are the possible serious side effects of ELIQUIS? (877) 517-6326 (MondayFriday, 8 AM8 PM ET), Adverse event or product quality complaints, BMSMedInfo.com to search online or email your inquiry (login or registration required), (800) 321-1335 (MondayFriday, 8 AM8 PM ET). However, these patients may be eligible to receive their medicine for free through the Pfizer Patient Assistance Program. If you prefer, you may contact the Strength in Sharing program toll-free at 1-844-384-4957. Through Pfizer RxPathways, Pfizer can also help connect patients to other assistance services the company offers if they are not eligible to receive their medicines for free. Note: Images do not represent actual tablet size. Treat blood clots in the veins of the legs (deep vein thrombosis DVT) or lungs (pulmonary embolism PE), and reduce the risk of them occurring again. Helps uninsured patients receive savings on more than 100 Pfizer medicines directly at their pharmacy, regardless of their income. You can also askElise, our virtual assistant, for help or you can call tap to call 1-855-ELIQUIS (354-7847). Please see U.S. Full Prescribing Information, including Boxed WARNINGS and MedicationGuide. Eliquis pfizer - zbapgn.a-przydatek.de A reaction to ELIQUIS can cause hives, rash, itching, and possibly trouble breathing. save on out-of-pocket costs for ELIQUIS. 1-800-FDA-1088. 6 Co-pay Assistance provided through the Pfizer Patient Assistance Program is not health insurance. ELIQUIS is indicated for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and to reduce the risk of recurrent DVT and PE following initialtherapy. Please call1-844-989-PATH (7284), PAP Connect enables US patients and their healthcare providers to apply and manage their enrollment for select primary care medicines in the Pfizer Patient Assistance Program completely online through their mobile device or computer*. Contact us at 1-844-989-PATH (7284) for New Patients. You can also sign up to receive helpful information about your condition and taking ELIQUIS. For all other Pfizer medicines, patients and healthcare providers should follow the existing application process outlined on the Pfizer RxPathways website.
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